Meter Swap � �� ' Request Number: 12966
Public works Division
Service Request
Problem Address: 6632 Fridley St Requested By: Kathleen Ferrier
Department: WA1ER Address: No address pcovided
Problem/Issue: 1NSTALL AMR METER Phone Nnmber: 612-203-1818
Scheduled Dat • 201�-01-28 Sc6edaled 11me: 10:30:00
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, ACIION NEEDED:
Createdby: We�yHiatt DxEeCre�ed: 2017-01-19
ACIION TAI�N:
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Status: In Progress Snbmitter Aas Been r
CoM�ted
Dxte Completed: ���� —�Z Completed by
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Water De�ar�vnent � / () ' �� � rD �(� -Vd�
5431 University//�1v�nwe NE
Fridley,MN 55432 �..
,,, T53-572-3566 � !t, .��, J ���
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hereby authorize the City of Fridiey andjor its empioyees to sio w�at is necessary to
replace the water rneter. !understand that the propea�ky owner is liable for the�arater line from the main to the premise and atl i�rterior
plurrebing. {Per Crty cosle�02A6) i adso hold the City of Fridiey andjits employees harmless for any damages that may occur while doing this
operation. This#o inciude,but nat limi#ed to valves,piping,walis,floors or the curb stop box and service lioe. In understand l am also require�
to obtain a permit prior to arry�aor4c,if atecessary.
FIti1iAL METER READING(otd meter) ` y � ����
Name:�� �� �'e'e V1 �'(�181r Address �(J .7d- �~b
Phone Numb�r Z• ' ��J ^ �. p� ` � a- � ' ��'
Signature�(������ ' N('rtness Signature �
OLD METER# '���� LY �"6
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NEW METER#__� 8 1 n / ✓ � �
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NEW READIIVG O / "
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FRIDCEY CITY CODE
CHAPTER 4�2.WATER,STORM WATER AND SANITARY SEWER
ADMtNtSTRATION
(Ref Ord Wo 113,46�#,565,566,629,638,662,9Z2,988,1144,1155,1191j
�42.5 PERTAI'T FEE
Pr�or to constructing or repair of any water of sewer 4ine connecting the existing municipal system and ar�y house or buildir�for wfiich�e
application is made,the awner or contractor sha[f be reguired to obtain a permit for such connection,and shall pay a permit fee as prrnrided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shail be unlawfuf to cover
any connecting line unti{an inspection has been made and such wnnection and#he woric inaderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAlRS AMD MAl1YTENANCE TO COMINECTION
After the initial connection has been made to tfie water senrice curb stop box ar the sewer lead at the property iine or a water senrice lead has
been extended to fihe property Iine for connection,the applicarrt,owner,or accupant or user of such premises shal{�liable for aif repairs
required to any water line and searer lines necessary for connection of the premises from the main to the psemises. If the property owner
requests maintenance service or repairs be perforrned by the City,the property owner shall he charged for fihe casts of the mairrtenar�ce and/or
repairs,including necessary street repain at a rate set an�ually by an administrative poficy. R shalt 6e the responsbility of the appiicarrt,
owner,occupa�rt or user to perform standard maintenance of the sewer service iine frvm the premises to the maia including debris dearir�g or
root cutting and to masrrtain the water service curb stog box for operability and at such height as wiU ensure that it remains a6ove tfie finisfied
grade of the laad or property. (Ref 635,1156,1191)